- Humana (Columbus, OH)
- **Become a part of our caring community and help us put health first** The Utilization Management Nurse 2 utilizes clinical nursing skills to support the ... and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments are varied… more
- Humana (Columbus, OH)
- …documentation and communication of medical services and/or benefit administration determinations. The Utilization Management Nurse 2 work assignments ... community and help us put health first** The Utilization Management Registered Nurse 2 utilizes clinical nursing skills to support the coordination,… more
- Humana (Columbus, OH)
- …work hours and hard-wired, high-speed internet service is required for this position --_ The Utilization Management Nurse 2 helps to ensure fully ... Minimum of associate degree in nursing + Licensed Registered Nurse (RN) in a compact state with no disciplinary... to 3 years of home health experience and/or utilization management experience + Experience in a… more
- CVS Health (Columbus, OH)
- …occasionally per the need of the department.** **No travel is required.** As a Utilization Management Nurse Consultant, you will utilize clinical skills to ... care more personal, convenient and affordable. **Position Summary:** This Utilization Management (UM) Nurse Consultant...unrestricted state licensure in their state of residence + 2 + years of acute hospital clinical experience as an… more
- Humana (Columbus, OH)
- …help us put health first** Humana Healthy Horizons in Kentucky is seeking a Utilization Management Behavioral Health Professional 2 who utilizes behavioral ... and communication of medical services and/or benefit administration determinations. The Utilization Management Behavioral Health Professional 2 work… more
- Intermountain Health (Columbus, OH)
- …cost-effective outcomes. Provides focused support to various areas such as utilization management , emergency department, acute, ambulatory and specialty care. ... in examining patterns of health care needs, decisions, lifestyle choices, and utilization of resources that affect their health. + Advocates, educates and coaches… more
- CVS Health (Columbus, OH)
- …reimbursement policy. + 1+ year of Coding experience **Preferred Qualifications** + Utilization Management review + Managed Care experience **Education** + ... Qualifications** + 5+ years of clinical experience required + 2 + years of experience as a Registered Nurse... 2 + years of experience as a Registered Nurse + Must have active, current and unrestricted RN… more
- Molina Healthcare (Columbus, OH)
- … and effective resource management . + Develops and implements a Utilization Management program and action plan, which includes strategies that ensure ... IT and data analysts to produce tools to report, monitor and improve Utilization Management . + Actively participates in regulatory, professional and community… more
- CVS Health (Columbus, OH)
- …care more personal, convenient and affordable. **Position Summary** The Care Management Associate (CMA) role is a full-time remote telework position. Qualified ... with special healthcare needs and carries a caseload. The Care Management Associate supports comprehensive coordination of medical services including Care Team… more
- Veterans Affairs, Veterans Health Administration (Columbus, OH)
- …Advanced Medical Support Assistant is responsible for the consult and scheduling management of clinics assigned across multiple facilities.This is an internal job ... the Specialty they are supporting, to review clinic appointment availability ( utilization ) to ensure that clinic schedules are closely monitored to effectively… more
- ChenMed (Columbus, OH)
- …plan of care, providing health education, specialty referrals and case management referrals, providing follow-up care and applying clear, in-depth documentation ... cardiovascular care as well as, care coordination, echocardiogram reading, population management of market's members, and oversight of PCP's cardiovascular skills. +… more